SOUTHEASTERN HEALTH SERVICES INC. NPI 1295955680

NPI Information

  • NPI: 1295955680
  • Provider Name: SOUTHEASTERN HEALTH SERVICES, INC.
  • Classification: Psychologist - 103TH0004X
  • Specialization: Health
  • Entity Type: Organization
  • Address: 1624 FREDERICA RD
    SUITE 3
    SAINT SIMONS ISLAND, GA
    ZIP 31522
  • Phone: (912) 634-1677

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NPI Details

SOUTHEASTERN HEALTH SERVICES, INC. is a health psychologist in Saint Simons Island, GA. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • SOUTHEASTERN HEALTH SERVICES, INC. NPI is 1295955680. The provider is registered as an organization entity type and is a multi-specialty group.

    The provider's business location address is:

    1624 FREDERICA RD
    SUITE 3
    SAINT SIMONS ISLAND, GA
    ZIP 31522-506
    Phone: (912) 634-1677
    Fax: (912) 634-1677

    The provider's authorized official is Deanna Jane Hart .
    The authorized official title is President and has the following contact phone number (904) 280-4491.

    The enumeration date for this NPI number is 4/26/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY001838GEORGIANo
2103T00000XPsychologistPSY001838GEORGIANo
3103TA0700XPsychologistAdult Development & AgingPSY001838GEORGIANo
4103TB0200XPsychologistCognitive & BehavioralPSY001838GEORGIANo
5103TC0700XPsychologistClinicalPSY001838GEORGIANo
6103TC1900XPsychologistCounselingPSY001838GEORGIANo
7103TH0100XPsychologistHealth ServicePSY001838GEORGIANo
8103TP2701XPsychologistGroup PsychotherapyPSY001838GEORGIANo
9103TR0400XPsychologistRehabilitationPSY001838GEORGIANo
10103TH0004XPsychologistHealthPSY001838GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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